Co-presented by the American Case Management Association and the Association of Physician Leadership in Case Management, Care Transitions Today is a premier podcast for insightful discussions on case management and transitions of care. Our upcoming series, Case Conversations, delves deep into real-world medical cases, sharing experiences, best practices, and innovative approaches to patient care. Each episode, our panel of experts brings you a new case study, offering a unique learning opportunity for health care professionals at all levels of experience.
Care Transitions Today
Claim This Podcastby Co-presented by ACMA and APLCM
4.9(35 reviews)
42 episodes
Updated Bi-weekly
Accepts GuestsHas SponsorsLocation 🇺🇸
30
Podcast Authority
BetaPoorBased on show quality, social media presence, reviews, charts, and more
Quality28
Social0
YouTube0
Engagement77
Podcast Overview
Co-presented by the American Case Management Association and the Association of Physician Leadership in Case Management, Care Transitions Today is a premier podcast for insightful discussions on case management and transitions of care. Our upcoming series, Case Conversations, delves deep into real-world medical cases, sharing experiences, best practices, and innovative approaches to patient care. Each episode, our panel of experts brings you a new case study, offering a unique learning opportunity for health care professionals at all levels of experience.
Language
🇺🇲
Publishing Since
10/6/2020
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30
Podcast Authority
BetaPoorBased on show quality, social media presence, reviews, charts, and more
Quality28
Social0
YouTube0
Engagement77
6
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12
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excellent
Episode Length
47 minutes
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Every 47 days
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Recent Episodes
May 20, 2026
Case by Case: When Short Stays Still Carry High Risk
Dr. Rebecca Severe and Dr. Sweta Singh discuss two case studies, revealing how short hospital stays can still pose high risks and impact reimbursement decisions.
April 20, 2026
Case by Case: The Patient With No Name
<p>This episode is co-presented by the Association of Physician Leadership in Care Management and the American Case Management Association.In this episode, we are joined by returning experts Dr. Rebecca Severe and Dr. Sweta Singh, along with guest Jason Lindsey, who is Director of Case Management at his organization.The conversation explores two complex case studies highlighting the intersection of medical necessity, ethical decision-making, and system-level barriers in patient care.The first case follows a critically ill, unidentified patient who presented with sepsis and required intensive, multidisciplinary care. With no identification, no confirmed family, and no decision-maker, the care team navigated significant challenges, including court-appointed guardianship, progression to gangrene requiring amputation, and long-term hospitalization due to the inability to secure post-acute placement. Over more than six years, the case evolved beyond clinical management into a complex discharge planning issue, requiring coordination across ethics committees, social work, legal systems, and external agencies.The second case examines a medically complex patient presenting with chest pain, heart failure, and subsequent complications, including pericarditis and acute kidney injury. Despite clear clinical indicators supporting inpatient level of care, the case was denied by the payer following a short length of stay due to the patient leaving against medical advice. The discussion highlights strategies for supporting inpatient status in the setting of evolving clinical conditions, the importance of thorough documentation of ongoing symptoms and medical decision-making, and key considerations when appealing payer denials—particularly when length of stay is impacted by patient-driven discharge.The Association of Physician Leadership in Care Management (APLCM) was created to provide support and education for physicians in this field. APLCM is unique because of its connection to the American Case Management Association, focusing on a collaborative model that brings together nurse case managers, social workers, and physicians in care management. ACMA has a rich 25-year history of supporting the case management field. APLCM is inclusive of all practice settings, and membership provides access to ACMA resources and benefits. Whether you're new to case management or have years of experience, APLCM membership offers valuable professional networking opportunities and resources. Visit <a href="https://www.aplcm.org" target="_blank">www.aplcm.org</a> to learn more.For more information about the podcast, please visit <a href="https://www.acmaweb.org/podcast" target="_blank">www.acmaweb.org/podcast</a> or contact us directly at <a href="mailto:podcast@acmaweb.org">podcast@acmaweb.org</a> with questions, topic requests, or feedback. </p>
February 24, 2026
Case by Case: Status Determination When the Path Isn't Clear
<p>This episode is co-presented by the Association of Physician Leadership in Care Management and the American Case Management Association. In this episode, we are joined by returning experts Dr. Rebecca Severe and Dr. Sweta Singh. <br></p><p>In this episode, the conversation tackles two complex,real-world cases that highlight the gray areas of utilization management, patient status determination, and navigating payer expectations, especially when clinical trials and post-operative recovery blur the lines between observation and inpatient care. First, they unpack a challenging scenarioinvolving an elderly Medicare patient enrolled in a blinded clinical trial for a transcatheter mitral valve repair. With uncertainty around whether an inpatient-only procedure was actually performed, the discussion explores how to apply Medicare rules, protect patient benefits, and ensure compliance when documentation is intentionally limited.</p><p> </p><p>Next, they dive into a surgical case involving a largethigh mass removal, where high drain output, IV antibiotics, and functional decline raise important questions about when it’s appropriate to convert from outpatient/observation to inpatient status, and how to build a strong case during peer-to-peer reviews and appeals. Packed with practical insights, this conversation offers valuable strategies for physician advisors, casemanagers, and utilization review professionals navigating complex admissions, clinical trials, and post-operative care decisions.The Association of Physician Leadership in Care Management, or APLCM, was created to provide support and education for physicians in this field. APLCM is unique because of its connection to the American Case Management Association, focusing on the partnership and collaborative model of nurse case managers, social workers, and physicians in care management. ACMA has a rich, 25-year history of supporting the case management field. APLCM is inclusive of all practice settings. Membership in APLCM also gives you access to all ACMA resources and benefits. Whether you're new to case management or have years of experience, APLCM membership is valuable. Gain access to professional networking opportunities and resources. Visit www.aplcm.org to learn more. Please visit www.acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.</p>
42 total episodes available with 1 transcripts
Recent guests on Care Transitions Today
Guests from recent episodes — sign up to see every guest that has ever appeared on this show.
Rebecca Severe
Guest
Sweta Singh
Guest
Jennifer Dominow
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Marla Kolovitz
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Frequently asked questions
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- What is Care Transitions Today?
- How often does this podcast release new episodes?
This podcast updates bi-weekly.
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This podcast is available on 8 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
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Yes, this podcast regularly features guests.
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